# MICHAEL A. GORDON, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366558546
- **Authorized official:** DR. MICHAEL ANTHONY GORDON DDS (PRESIDENT)
- **Authorized official phone:** (219) 322-1929

## Contact information

- **Practice address:** 829 MAIN ST, SCHERERVILLE, IN 46375-1100
- **Practice address phone:** (219) 322-1929
- **Mailing address:** 829 MAIN ST, SCHERERVILLE, IN 46375-1100
- **Mailing address phone:** (219) 322-1929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 54001287A | IN | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 12/04/2020